1 00:00:04,138 --> 00:00:06,762 Calamari stolen the lead, but Ample Parking is making strides, 2 00:00:06,829 --> 00:00:11,199 and is now at fourth, third, and holding second place, while Blue Calamari is at a steady speed. 3 00:00:11,283 --> 00:00:14,866 And down the stretch they come! Ample Parking comes from behind. 4 00:00:15,054 --> 00:00:17,655 It's Ample Parking by a nose! 5 00:00:19,078 --> 00:00:21,497 This is the last call for the third race. 6 00:00:21,628 --> 00:00:25,355 You may still wager if you hurry. Here's your information on the race ... 7 00:00:25,454 --> 00:00:27,519 Out of the way. Cripple coming through. 8 00:00:28,323 --> 00:00:33,727 Um, 6 race at Golden Downs. I'll take the two and the four. 9 00:00:33,840 --> 00:00:39,697 Hey, that's my birthday. February 4th, 1963. I think that's a good bet? 10 00:00:39,929 --> 00:00:41,424 Oh, wh-what's your birthday? 11 00:00:41,610 --> 00:00:44,674 Take your time. Don't worry. There's only 30 seconds to post. 12 00:00:44,677 --> 00:00:48,087 Is there any way I can bet on the 6 and the 3 also? 13 00:00:48,083 --> 00:00:51,060 You know, for the year? All four horses. Can I do that? 14 00:00:51,308 --> 00:00:56,390 He wants a $2.00 exacta box - 2, 4, 6, 3. Give him $24. 15 00:00:59,004 --> 00:01:00,331 Mm-hmm. 16 00:01:02,160 --> 00:01:03,280 Your turn. 17 00:01:03,867 --> 00:01:08,274 9th at Gulfstream Park. 500 on the three horse. Seminal Uprising to win. 18 00:01:08,464 --> 00:01:10,298 Might as well burn your money. 19 00:01:10,497 --> 00:01:12,765 I'll burn my winnings. Bigger flame. 20 00:01:12,766 --> 00:01:14,171 Ladies and gentlemen... 21 00:01:14,610 --> 00:01:16,599 Same race, TermiGator to win. 22 00:01:16,683 --> 00:01:17,802 Flag is up. 23 00:01:18,913 --> 00:01:22,051 - Sorry, race just closed. - Damn it. 24 00:01:22,545 --> 00:01:24,235 She was 14 to 1, too. 25 00:01:24,483 --> 00:01:26,864 That fat ass over there just saved you money. 26 00:01:26,978 --> 00:01:29,510 - No way Seminal Uprising is... - I don't bet on the horses. 27 00:01:29,511 --> 00:01:32,194 I bet on the jocks. My rider is bulimic. 28 00:01:32,315 --> 00:01:33,926 Purges after his weigh-ins. 29 00:01:34,238 --> 00:01:38,415 Leave a 2-pound pile at the starting gate, shaves valuable time of that final 8th. 30 00:01:38,502 --> 00:01:40,382 Nice to have inside information. 31 00:01:40,457 --> 00:01:45,530 Leads at the stretch by a length, the Burning Bush. And on the level is Andy right up on the inside... 32 00:01:54,399 --> 00:01:56,134 Is anybody here a doctor? 33 00:02:02,020 --> 00:02:03,514 You tryin' to cop a feel? 34 00:02:03,596 --> 00:02:05,552 I took a CPR class at the Y. 35 00:02:05,636 --> 00:02:08,237 That would be useful if she was having a heart atack instead of a seizure. 36 00:02:08,322 --> 00:02:10,165 Seizure? Hold her tongue down? 37 00:02:10,166 --> 00:02:12,810 If you wanna get a finger bitten off. Call an ambulance. 38 00:02:12,884 --> 00:02:15,138 Methodist is 3 blocks down. I could drive her. 39 00:02:25,973 --> 00:02:27,166 How should I know? 40 00:02:27,279 --> 00:02:30,003 Tell the paramedics to take her to Princeton-Plainsborough. 41 00:02:30,154 --> 00:02:31,684 The doctor's name is House. 42 00:02:31,768 --> 00:02:34,830 And it's TermiGator winning by 2 lengths! 43 00:02:37,891 --> 00:02:42,366 2x09 - Deception 44 00:03:04,344 --> 00:03:07,824 Original Airdate (FOX): 13-DEC-2005 45 00:03:09,155 --> 00:03:11,297 Since when does House hang out at OTB? 46 00:03:11,381 --> 00:03:12,376 Man's an addict. 47 00:03:12,460 --> 00:03:14,225 Right, addicted to pills, not gambling. 48 00:03:14,309 --> 00:03:17,548 Same thing - drug abuse, drinking, gambling. 49 00:03:17,694 --> 00:03:20,251 They all fire up the same pleasure centers in the brain. 50 00:03:20,395 --> 00:03:21,928 An addict is an addict is... 51 00:03:22,012 --> 00:03:23,968 Gambling doesn't take away his pain. 52 00:03:24,113 --> 00:03:25,636 It does when I win. 53 00:03:25,803 --> 00:03:31,992 Hot OTB babe has grand mal and inexplicable bruising. 54 00:03:32,512 --> 00:03:33,335 What up with that? 55 00:03:33,419 --> 00:03:35,713 You were just standing there and she started to seize? 56 00:03:35,797 --> 00:03:39,479 Spend as much time around the real people as I do, someone gets sick. 57 00:03:39,543 --> 00:03:42,460 Platelets are 89. She's anemic. 58 00:03:42,604 --> 00:03:45,133 And she has a blood alcohol level of.13. 59 00:03:45,201 --> 00:03:47,123 Hot OTB babe? 60 00:03:47,220 --> 00:03:50,369 Obviously a working girl. Probably an STD, infection. 61 00:03:50,453 --> 00:03:52,240 No fever, no infection. 62 00:03:52,304 --> 00:03:54,030 Alcohol abuse explains it all. 63 00:03:54,169 --> 00:03:58,131 Causes seizures and affects her blood's ability to clot, which causes bruising. 64 00:03:58,217 --> 00:03:59,938 Start her on heparin. She'll be fine by morning. 65 00:04:00,022 --> 00:04:03,356 Except for the fact that the bruises are not petechial, which means it's not DIC. 66 00:04:03,440 --> 00:04:05,281 So the bruises were caused by trauma. 67 00:04:05,378 --> 00:04:08,217 She probably got beat up by her boyfriend. Or her pimp. 68 00:04:08,276 --> 00:04:11,645 What's that called when you judge someone before ever meeting them? 69 00:04:11,729 --> 00:04:13,748 She's a regular at OTB. 70 00:04:13,983 --> 00:04:17,707 Somehow I don't see her holding down a 9-to-5 and going to PTA meetings. 71 00:04:17,814 --> 00:04:18,700 I was there. 72 00:04:18,806 --> 00:04:20,276 I have a "9-to-3" job. 73 00:04:20,276 --> 00:04:23,364 It could be SLE, familial telangiectasis, 74 00:04:23,530 --> 00:04:26,223 - or even Cushing's. - Good. Start with those. 75 00:04:26,499 --> 00:04:27,803 - Which one? - Cushing's. 76 00:04:27,947 --> 00:04:29,700 Explains the seizure and the bruising. 77 00:04:29,784 --> 00:04:30,710 Not the anemia. 78 00:04:30,812 --> 00:04:32,115 So she doesn't eat a lot of meat. 79 00:04:32,199 --> 00:04:36,231 DIC brought on by alcohol abuse is far more likely. Do a full workup. 80 00:04:36,384 --> 00:04:39,656 H and P. And lab her up, LP, MRI. 81 00:04:39,736 --> 00:04:41,002 Wh-Whoa! 82 00:04:42,268 --> 00:04:46,842 Did you just ever-so-subtly order me to get her medical history? 83 00:04:47,180 --> 00:04:51,316 Cuddy put me in charge last week. So... yeah. 84 00:04:54,475 --> 00:04:56,913 It was a pretend in charge. 85 00:04:56,997 --> 00:04:59,291 Formality to get past the suits in legal. 86 00:04:59,375 --> 00:05:02,473 Right, those licensing board folk love to play dress-up and pretend. 87 00:05:02,557 --> 00:05:05,169 Hey, no worries. I'll let you keep your parking space. 88 00:05:05,277 --> 00:05:06,126 You can have it. 89 00:05:06,210 --> 00:05:08,516 You'll also need my handicapped placard. 90 00:05:08,600 --> 00:05:09,520 Bend over. 91 00:05:09,702 --> 00:05:11,462 Well, you make a pretty convincing argument. 92 00:05:11,546 --> 00:05:13,776 Chase killed that woman. Now Foreman's in charge? 93 00:05:13,860 --> 00:05:15,775 Yeah, we have a pecking order here. 94 00:05:15,859 --> 00:05:19,179 If Cameron kills somebody, Chase takes over. There's a flow chart in the lobby. 95 00:05:19,322 --> 00:05:21,991 For the next three weeks, you answer directly to Dr. Foreman. 96 00:05:22,075 --> 00:05:24,623 And I expect you here for grand rounds at 9:00. 97 00:05:24,799 --> 00:05:28,015 By the way... I like sugar in my coffee. 98 00:05:28,706 --> 00:05:31,842 If there's a screw-up, it's your screw-up. 99 00:05:32,977 --> 00:05:35,483 You won't have Dr. House to fall back on. 100 00:05:39,983 --> 00:05:41,943 "Do you wear a seat belt?" 101 00:05:42,027 --> 00:05:43,749 Is that really relevant to a seizure? 102 00:05:43,856 --> 00:05:44,782 Skip it. 103 00:05:44,866 --> 00:05:45,884 How about, um... 104 00:05:45,968 --> 00:05:47,499 "Were you vaccinated for polio?" 105 00:05:47,583 --> 00:05:50,197 I think you gave me the form intended for FDR. 106 00:05:50,413 --> 00:05:52,448 You really like Teeny Tiny Mo in the 5th? 107 00:05:52,532 --> 00:05:54,798 I went 4 for 6 yesterday. 108 00:05:54,946 --> 00:05:57,403 You want winners, cure me first. 109 00:05:57,636 --> 00:06:01,051 "Are you generally satisfied with your life?" 110 00:06:01,149 --> 00:06:02,859 It does not ask that. 111 00:06:08,222 --> 00:06:09,488 You know, I was going to ask 112 00:06:09,572 --> 00:06:13,012 what a respectable doctor was doing in an OTB parlor. 113 00:06:13,208 --> 00:06:16,024 Somehow that question doesn't seem relevant anymore. 114 00:06:16,160 --> 00:06:18,478 - What's your excuse? - Turns me on. 115 00:06:18,562 --> 00:06:20,558 Yeah? What else turns you on? 116 00:06:20,652 --> 00:06:21,731 Drugs? 117 00:06:21,915 --> 00:06:23,091 Casual sex? 118 00:06:23,175 --> 00:06:24,468 Rough sex? 119 00:06:24,924 --> 00:06:26,614 Casual rough sex? 120 00:06:27,597 --> 00:06:28,979 I'm a doctor. I need to know. 121 00:06:29,063 --> 00:06:30,365 No sex. 122 00:06:30,451 --> 00:06:31,740 Just moved here. 123 00:06:31,852 --> 00:06:34,182 Haven't even found a job yet. Don't know anybody. 124 00:06:34,293 --> 00:06:36,207 Came here without a job. 125 00:06:36,780 --> 00:06:38,699 That means you didn't move here. 126 00:06:38,783 --> 00:06:40,707 You moved away from somewhere else. 127 00:06:40,707 --> 00:06:41,502 Whew. 128 00:06:43,670 --> 00:06:45,266 - Does that hurt? - No. 129 00:06:46,417 --> 00:06:49,214 You on prescription meds? Hormones? Prednisone? 130 00:06:49,298 --> 00:06:52,367 I already answered that one. I think it was question number 20-something. 131 00:06:52,451 --> 00:06:54,367 Yeah, and I could reach down and get it, 132 00:06:54,451 --> 00:06:56,444 but that would kind of spoil the whole cool move. 133 00:06:56,528 --> 00:06:58,130 I'm not on any medications. 134 00:06:58,191 --> 00:07:01,290 - You vegetarian? - No. Why? 135 00:07:01,462 --> 00:07:03,964 Because you might have something called Cushing's Syndrome. 136 00:07:04,092 --> 00:07:04,930 Which basically means... 137 00:07:05,014 --> 00:07:08,581 My pituitary is overproducing ACTH, 138 00:07:08,665 --> 00:07:10,637 which is causing my adrenal glands 139 00:07:10,720 --> 00:07:13,654 to push too much cortisol into my bloodstream. 140 00:07:13,737 --> 00:07:14,987 By coincidence, 141 00:07:15,083 --> 00:07:16,270 I'm a doctor too. 142 00:07:16,356 --> 00:07:17,859 Yeah, I had it last year. 143 00:07:18,009 --> 00:07:19,568 They did brain surgery. 144 00:07:19,652 --> 00:07:22,997 Removed an adenoma from my pituitary. 145 00:07:33,116 --> 00:07:34,210 Huh? 146 00:07:34,294 --> 00:07:35,989 What did you just say? 147 00:07:36,073 --> 00:07:38,870 "You were right, House, her pituitary tumor regrew. 148 00:07:38,954 --> 00:07:41,582 It is Cushing's. Uncanny how you do that." 149 00:07:41,666 --> 00:07:43,448 Actually, it was Cameron's idea. 150 00:07:43,532 --> 00:07:45,255 No, Cameron had three ideas. 151 00:07:45,339 --> 00:07:48,019 I chose one to encourage, to nurture. 152 00:07:48,103 --> 00:07:49,970 Yeah, you're all about the nurturing. 153 00:07:50,054 --> 00:07:51,590 Do you need a hug? 154 00:07:54,096 --> 00:07:56,014 I don't see any regrowth. 155 00:07:56,367 --> 00:07:58,018 You get a medical records fax over? 156 00:07:58,102 --> 00:08:01,002 Work smart, not hard. That's my philosophy, boss. 157 00:08:01,103 --> 00:08:02,672 I'll take that as a no. 158 00:08:04,418 --> 00:08:07,159 Anica, I need you to stay completely still. 159 00:08:07,353 --> 00:08:08,678 Sorry. 160 00:08:11,805 --> 00:08:13,529 Still don't see anything. 161 00:08:13,837 --> 00:08:16,708 Okay, so it's a micro adenoma, too small to see. 162 00:08:16,792 --> 00:08:18,442 It's so small, it's not even there. 163 00:08:18,526 --> 00:08:22,674 Right, it's just a coincidence that I predicted a rare condition that she happened to have a year ago. 164 00:08:22,744 --> 00:08:24,158 Results from her LP back yet? 165 00:08:24,242 --> 00:08:26,868 Didn't do an LP. I knew what she had. 166 00:08:26,869 --> 00:08:29,204 Window Closed [control panel: open_winMRI-1] 167 00:08:29,367 --> 00:08:31,139 Go do the LP. 168 00:08:37,075 --> 00:08:41,238 Okay, I need you to roll over on your side, kiss your kneecaps. 169 00:08:41,500 --> 00:08:42,941 Party time. 170 00:08:43,703 --> 00:08:46,760 I thought it only took one doctor to do this. I'm observing. 171 00:08:46,844 --> 00:08:49,025 She's here to make sure I don't paralyze you. 172 00:08:50,126 --> 00:08:51,506 You've done this before, right? 173 00:08:51,590 --> 00:08:52,515 Successfully? 174 00:08:52,616 --> 00:08:54,561 He's kidding. He's an excellent doctor. 175 00:08:54,645 --> 00:08:57,237 I'm gonna numb the area with some lidocaine. 176 00:08:57,383 --> 00:09:00,188 And then we're off to the races. See what I did there? 177 00:09:00,393 --> 00:09:03,928 I used horse racing jargon to make the patient feel more comfortable. 178 00:09:04,782 --> 00:09:06,721 Okay, here we go. 179 00:09:06,892 --> 00:09:07,982 Ow! 180 00:09:08,082 --> 00:09:10,440 Felt like bone. Does that hurt? 181 00:09:10,524 --> 00:09:13,232 A little bit. What are you doing? Oww! 182 00:09:13,316 --> 00:09:14,749 Try running your back a bit more. 183 00:09:14,833 --> 00:09:16,287 Perfect is the way you are. 184 00:09:16,550 --> 00:09:19,372 - Oops. That was all me. 185 00:09:19,456 --> 00:09:20,302 Ow! 186 00:09:20,386 --> 00:09:21,972 Might wanna move down one vertebrae. 187 00:09:22,117 --> 00:09:24,492 This is actually much harder than I remember. 188 00:09:24,556 --> 00:09:26,083 Ohh! 189 00:09:26,689 --> 00:09:28,427 My chest feels a little tight. 190 00:09:28,511 --> 00:09:29,903 Try taking a deep breath. 191 00:09:29,987 --> 00:09:31,570 Dr. House, maybe I should take it from here. 192 00:09:31,654 --> 00:09:32,884 Eighth time's the charm. 193 00:09:32,988 --> 00:09:34,067 Aah! 194 00:09:34,230 --> 00:09:35,650 You trying to piss off Foreman? 195 00:09:35,774 --> 00:09:37,618 Let... 196 00:09:37,702 --> 00:09:39,224 EP's 240 over 140. 197 00:09:39,308 --> 00:09:40,588 Turn that thing off, will you? 198 00:09:40,672 --> 00:09:42,031 Take the needle out. 199 00:09:42,393 --> 00:09:44,238 - Take the needle out! - Okay! 200 00:09:46,342 --> 00:09:50,432 It's a hypertensive crisis. Start her on an IV Lopressor drip. 201 00:09:50,432 --> 00:09:53,648 Titrate to systolic less than 140. She'll be fine. 202 00:09:53,886 --> 00:09:55,920 Cameron, meet me in my office. 203 00:09:56,384 --> 00:09:58,548 At the risk of sounding redundant... 204 00:09:58,632 --> 00:10:00,806 and right... again... 205 00:10:01,063 --> 00:10:02,717 she has Cushing's. 206 00:10:02,782 --> 00:10:03,979 Cushing's. 207 00:10:04,037 --> 00:10:07,528 Right... the fact that you mangled her LP has nothing to do with it? 208 00:10:07,612 --> 00:10:09,674 Actually, it has everything to do with it. 209 00:10:09,674 --> 00:10:13,939 Cushing's plus stress equals hypertensive crisis. 210 00:10:14,209 --> 00:10:15,665 Smart move, sending the rookie. 211 00:10:15,749 --> 00:10:19,051 Her initial symptoms could have been caused by alcohol-induced DIC. 212 00:10:19,239 --> 00:10:23,142 She hada hypertensive crisis because it's been at least six hours since she hadher last drink. 213 00:10:23,230 --> 00:10:23,980 She's detoxing. 214 00:10:24,092 --> 00:10:27,267 The exact same moment that I'm futilely trying to give her an LP? 215 00:10:27,351 --> 00:10:31,259 Right, an invisible tumor on her pituitary is much more likely. 216 00:10:31,345 --> 00:10:32,917 What if the tumor is somewhere else? 217 00:10:33,063 --> 00:10:36,472 There could be an ACTH-secreting tumor on her lung or pancreas. 218 00:10:36,536 --> 00:10:37,426 It's awfully rare. 219 00:10:37,488 --> 00:10:39,211 Not as rare as an invisible tumor. 220 00:10:39,295 --> 00:10:41,672 Why didn't they put you in charge instead of Foreman? 221 00:10:41,874 --> 00:10:44,546 Oh, yeah, you're the guy that killed that woman. 222 00:10:44,769 --> 00:10:48,421 Get a pan-man scan before she dies of cortisol OD. 223 00:10:50,840 --> 00:10:52,550 Please? 224 00:10:53,089 --> 00:10:54,760 Fine, do it. 225 00:10:55,322 --> 00:10:56,595 But when you don't find anything, 226 00:10:56,679 --> 00:11:00,383 put her on a Librium taper for the withdrawal and get her a bed in a rehab clinic. 227 00:11:12,068 --> 00:11:13,714 Lungs look clean. 228 00:11:14,394 --> 00:11:16,938 Her lymph node's not enlarged. 229 00:11:18,573 --> 00:11:20,928 Cuddy tapped Foreman to run the department. 230 00:11:21,579 --> 00:11:23,762 - I didn't even get asked. - Neither did I. 231 00:11:23,866 --> 00:11:25,820 - You were suspended. - I was kidding. 232 00:11:26,040 --> 00:11:29,434 It's the irony of women in charge. They don't like other women in charge. 233 00:11:29,518 --> 00:11:30,906 Hmph! 234 00:11:31,074 --> 00:11:32,735 What? You think it's something else? 235 00:11:34,434 --> 00:11:36,242 You sabotaged yourself. 236 00:11:36,427 --> 00:11:38,872 You went on a date with House. You slept with me. 237 00:11:38,956 --> 00:11:43,265 Putting you in charge of this department is like a sexual harassment suit waiting to happen. 238 00:11:43,349 --> 00:11:47,130 Yeah. They're really worried that I'm gonna create a hostile work environment. 239 00:11:47,375 --> 00:11:49,248 Maybe that's the problem. 240 00:11:49,816 --> 00:11:53,190 Being in charge means having to say "no" to House. 241 00:11:53,336 --> 00:11:55,212 Would you hire you for that? 242 00:11:58,371 --> 00:12:00,848 Anderson coming out strong. 243 00:12:01,029 --> 00:12:04,882 What is he thinking? He watched what Tom Meents just did. 244 00:12:05,296 --> 00:12:08,941 You ordered MRIs for the entire maternity ward? 245 00:12:09,154 --> 00:12:10,722 I was in a crazy mood. 246 00:12:11,110 --> 00:12:13,072 Good thing I got a new boss to back me up. 247 00:12:13,136 --> 00:12:15,218 Although I think one of those is actually necessary. 248 00:12:15,315 --> 00:12:17,579 Better comb through before you cancel them all. 249 00:12:20,630 --> 00:12:22,530 What do you expect me to do, House? 250 00:12:22,660 --> 00:12:24,615 Quit? Cry? 251 00:12:24,707 --> 00:12:27,395 Actually, I expect you to act like what you are. 252 00:12:27,622 --> 00:12:30,683 My employee. My subordinate. 253 00:12:31,601 --> 00:12:32,508 My bitch. 254 00:12:32,592 --> 00:12:34,872 Yeah. Well, since you asked nicely— 255 00:12:34,973 --> 00:12:37,798 God. I can't believe I got more than a year behind 256 00:12:37,882 --> 00:12:40,868 on my discharge summaries. Gotta get caught up. 257 00:12:42,008 --> 00:12:42,747 Oh, no. Wait. 258 00:12:42,852 --> 00:12:45,886 I'm not authorized to sign these anymore. Only you are. 259 00:12:46,397 --> 00:12:49,652 Keep it coming. I'm not gonna break. 260 00:12:50,524 --> 00:12:52,689 Scan showed a mass on her pancreas. 261 00:12:53,531 --> 00:12:56,106 It looks malignant. Probably inoperable. 262 00:12:57,952 --> 00:12:59,830 I'd give her two months. 263 00:13:03,598 --> 00:13:07,360 On the bright side, it still means I was right. 264 00:13:14,160 --> 00:13:15,564 Where's Dr. House? 265 00:13:15,648 --> 00:13:17,772 Dr. Foreman's overseeing your case. 266 00:13:17,882 --> 00:13:20,361 He thought it'd be best if I spoke with you. 267 00:13:20,445 --> 00:13:22,911 We found a mass in your pancreas. 268 00:13:23,442 --> 00:13:25,332 It looks like cancer. 269 00:13:26,216 --> 00:13:29,911 So something in my pancreas caused me to have a seizure? 270 00:13:30,406 --> 00:13:34,918 P robably. But the bigger point is... 271 00:13:35,008 --> 00:13:40,839 A one year survival rate for pancreatic cancer is less than 20%. 272 00:13:40,923 --> 00:13:42,650 So what's the treatment? 273 00:13:43,750 --> 00:13:50,200 We need to biopsy the mass to see what we're dealing with. And... 274 00:13:51,610 --> 00:13:54,719 Then we can recommend options from there. 275 00:13:54,803 --> 00:13:56,264 Sounds good. 276 00:14:01,142 --> 00:14:03,908 I need your consent to do the biopsy. 277 00:14:09,565 --> 00:14:10,672 Thanks. 278 00:14:11,294 --> 00:14:12,922 Wish me luck. 279 00:14:13,401 --> 00:14:15,159 Good luck. 280 00:14:17,259 --> 00:14:20,330 It was weird. She barely reacted at all. 281 00:14:20,414 --> 00:14:21,908 I've had people hug me 282 00:14:21,971 --> 00:14:23,892 and people take a swing at me. 283 00:14:23,976 --> 00:14:26,125 This was more like she didn't even hear me. 284 00:14:26,524 --> 00:14:28,399 Magnify three times. 285 00:14:33,048 --> 00:14:38,126 House assisting. That is funny. 286 00:14:38,672 --> 00:14:40,978 Too bad Foreman's gonna die. 287 00:14:51,154 --> 00:14:52,924 Good afternoon. 288 00:14:53,305 --> 00:14:54,496 I'm Dr. House. 289 00:14:54,598 --> 00:14:56,447 I'm going to be looking at your... 290 00:14:58,316 --> 00:15:00,025 Perfect. 291 00:15:01,191 --> 00:15:02,512 Excuse me. 292 00:15:07,073 --> 00:15:10,518 I need Dr. Foreman in Exam Room One for a consult. 293 00:15:11,678 --> 00:15:13,630 So, when did this start? 294 00:15:13,838 --> 00:15:15,278 A couple weeks ago. 295 00:15:15,362 --> 00:15:16,743 I didn't want to get pregnant. 296 00:15:16,827 --> 00:15:19,964 Jake's not into rubbers, so I got on the jelly. 297 00:15:20,776 --> 00:15:22,824 You think I'm allergic or something? 298 00:15:23,272 --> 00:15:26,081 You have an infection. Gonna need a sample. 299 00:15:26,165 --> 00:15:27,362 I brought the jar. 300 00:15:27,623 --> 00:15:29,927 No, I meant a sample of your... 301 00:15:36,586 --> 00:15:39,615 Okay. We have a neurological problem here. 302 00:15:39,615 --> 00:15:41,915 There's something wrong with my brain? 303 00:15:42,560 --> 00:15:43,687 Oh, yeah. 304 00:15:44,073 --> 00:15:46,978 You can cover yourself up. I got what I need. 305 00:15:49,850 --> 00:15:50,855 What's up? 306 00:15:51,029 --> 00:15:52,530 Smell this. 307 00:15:53,247 --> 00:15:55,898 Smells like vaginosis. 308 00:15:55,987 --> 00:15:58,133 But it's not really my call. 309 00:15:58,199 --> 00:16:02,025 Great. I'll be sure to put a gold star by your name on the board. 310 00:16:02,229 --> 00:16:04,731 Anica's biopsy for pancreatic cancer 311 00:16:04,899 --> 00:16:06,568 was negative. 312 00:16:12,052 --> 00:16:14,046 Okay. I'm gonna give you some antibiotics 313 00:16:14,134 --> 00:16:15,876 and you probably shouldn't have sex for a while. 314 00:16:15,979 --> 00:16:16,906 How long? 315 00:16:17,077 --> 00:16:20,368 On an evolutionary basis, I'd recommend forever. 316 00:16:21,607 --> 00:16:24,107 The mass in the pancreas is benign. 317 00:16:24,193 --> 00:16:25,602 It's probably just scar tissue. 318 00:16:25,751 --> 00:16:29,007 Good news. She's not sick at all. Other than being an alcoholic. 319 00:16:29,091 --> 00:16:33,749 The labs you sent yesterday put her ACTH at 64 pico-grams per milliliter. 320 00:16:33,816 --> 00:16:36,081 She's got Cushing's. Something set it off. 321 00:16:36,165 --> 00:16:37,827 It's gotta be in her brain. 322 00:16:37,921 --> 00:16:39,865 Set her up for a venous sampling. 323 00:16:40,160 --> 00:16:41,354 There is another possibility. 324 00:16:41,438 --> 00:16:42,747 Chase, hold on. 325 00:16:43,011 --> 00:16:44,823 How'd you get him trained so fast? 326 00:16:45,016 --> 00:16:46,061 Electronic collar? 327 00:16:46,136 --> 00:16:47,372 Got treats in your pocket? 328 00:16:47,476 --> 00:16:50,427 She didn't even read the consent form for the pancreatic biopsy. 329 00:16:50,490 --> 00:16:51,416 Who reads those things? 330 00:16:51,509 --> 00:16:54,814 Maybe she didn't read it because she KNEW that there was nothing wrong with her. 331 00:16:54,898 --> 00:16:59,049 There is another explanation for the Cushing's. Maybe she injected herself with the ACTH. 332 00:16:59,133 --> 00:17:00,973 Her behavior suggests Munchausen's. 333 00:17:01,058 --> 00:17:03,743 She's had four hospitalizations in the last four months. 334 00:17:03,810 --> 00:17:07,816 Well, being hospitalized a lot certainly points to nothing being wrong with you. 335 00:17:08,300 --> 00:17:10,852 She's had zero symptoms since she got here. 336 00:17:10,956 --> 00:17:15,638 The scarring on her pancreas could be be caused from injecting herself with the benzene and setting off the seizures. 337 00:17:15,722 --> 00:17:17,139 She's had brain surgery. 338 00:17:17,223 --> 00:17:19,885 You can fake a stomach ache. You can't fake a brain tumor. 339 00:17:19,969 --> 00:17:21,640 You can fake an invisible one. 340 00:17:23,959 --> 00:17:26,911 We should check her apartment. Look for medications, syringes. 341 00:17:26,995 --> 00:17:29,081 - Venous sampling's easier. - And more dangerous. 342 00:17:29,157 --> 00:17:30,503 Not if you get caught breaking in. 343 00:17:30,603 --> 00:17:33,838 So don't get caught, House. 344 00:17:35,070 --> 00:17:37,260 Why do you think Cuddy picked Foreman over me? 345 00:17:37,413 --> 00:17:39,528 If I done something wrong or if there's something I needed to improve on... 346 00:17:39,595 --> 00:17:41,729 Would it make you shut up if I told you she wanted someone black? 347 00:17:41,813 --> 00:17:44,155 How would you describe my leadership skills? 348 00:17:44,214 --> 00:17:46,739 Nonexistent. Otherwise excellent. 349 00:17:46,823 --> 00:17:49,110 There's more to being a leader than being a jerk. 350 00:17:49,596 --> 00:17:51,248 The world will never know. 351 00:17:55,620 --> 00:17:57,163 No. No way. 352 00:17:57,732 --> 00:17:59,178 - It just snowed. - Yesterday. 353 00:17:59,241 --> 00:18:00,512 The streets are clear. 354 00:18:01,547 --> 00:18:03,712 My car is right there. 355 00:18:03,880 --> 00:18:06,801 There's construction on Elm. Bike'll be faster. 356 00:18:28,164 --> 00:18:30,359 There's even books in the bathroom. 357 00:18:31,433 --> 00:18:35,562 Well, either she's very smart or she has a severe fiber deficiency. 358 00:18:35,563 --> 00:18:40,095 "Tuesday 1 pm Opthalmologist, Dr. Peterson" "Thursday 10 am Gynecologist, Dr. Lachowicz" 359 00:18:40,955 --> 00:18:44,299 She's got an appointment with her ophthalmologist on Tuesday 360 00:18:44,299 --> 00:18:46,790 and an appointment with her gynecologist on Thursday. 361 00:18:47,468 --> 00:18:49,897 Multiple appointments with multiple doctors. 362 00:18:50,108 --> 00:18:51,836 Symptom of Munchausen's. 363 00:18:51,920 --> 00:18:58,718 Or, just thinking outside the box here, she has a vagina and trouble reading. 364 00:18:59,212 --> 00:19:02,355 There's three pairs of reading glasses. Each with different prescriptions. 365 00:19:02,410 --> 00:19:05,344 Which would be explained by a tumor pressing on the optic nerve. 366 00:19:05,428 --> 00:19:07,038 Because you're looking for her to have a tumor. 367 00:19:07,145 --> 00:19:08,782 And you are looking for... 368 00:19:09,159 --> 00:19:11,344 A person with Munchausen's Syndrome 369 00:19:11,422 --> 00:19:15,127 drinks battery acid. They don't go to an ophthalmologist to get their pupils dilated. 370 00:19:15,273 --> 00:19:18,379 An ophthalmologist is a doctor. Attention is attention. 371 00:19:18,585 --> 00:19:20,622 How many hospitals have you contacted? 372 00:19:20,764 --> 00:19:23,588 Has one doctor said she's crazy? It's not Munchausen's. 373 00:19:23,672 --> 00:19:25,537 It's not your call. 374 00:19:28,286 --> 00:19:31,699 If you think she's got Munchausen's, then obviously you got something to show the man. 375 00:19:31,794 --> 00:19:34,246 A syringe in her apartment. A bottle of ACTH. 376 00:19:34,330 --> 00:19:36,458 Munchausen patients are good at covering their tracks. 377 00:19:36,542 --> 00:19:38,187 Oh, right. So the fact that we found nothing 378 00:19:38,271 --> 00:19:39,122 proves there's something. 379 00:19:39,206 --> 00:19:41,879 Look at the pathology reports from the surgery she had in Chicago. 380 00:19:41,963 --> 00:19:43,826 They removed 30% of her pituitary. 381 00:19:43,936 --> 00:19:44,781 They found no tumor. 382 00:19:44,865 --> 00:19:46,724 It's possible the surgeons just missed it. 383 00:19:46,808 --> 00:19:48,969 In that kind of surgery, you're just cutting and hoping. 384 00:19:49,053 --> 00:19:53,330 Of course! We're both right. Excellent solution. Everybody's happy. 385 00:19:53,546 --> 00:19:55,089 Come on. Step up, Foreman. 386 00:19:55,234 --> 00:19:58,029 If you think I'm right, order me to stick a needle in her brain. 387 00:19:58,113 --> 00:20:00,109 If you think Cameron's right, send the patient home. 388 00:20:00,268 --> 00:20:02,693 Either she'll be fine, or she'll die. 389 00:20:03,463 --> 00:20:06,623 Do the venous sampling. Get her consent. 390 00:20:12,025 --> 00:20:15,298 Nice move, boss. Way to cover your ass. 391 00:20:15,798 --> 00:20:17,070 I just agreed with you. 392 00:20:17,154 --> 00:20:18,654 Not because you think I'm right. 393 00:20:18,754 --> 00:20:20,500 You're just taking the safe route. 394 00:20:20,701 --> 00:20:22,307 You're a wuss. 395 00:20:22,720 --> 00:20:25,631 Don't worry. Your secret's safe with me. 396 00:20:28,254 --> 00:20:31,286 Hey, Wilson! Guess what Foreman just did? 397 00:20:38,091 --> 00:20:39,120 Hi. 398 00:20:41,378 --> 00:20:44,362 This is a consent form to stick a wire into your brain. 399 00:20:44,636 --> 00:20:49,199 It's important for hospitals to get these signed for procedures that are completely unnecessary. 400 00:20:50,598 --> 00:20:51,978 Then why are you doing it? 401 00:20:52,062 --> 00:20:53,928 Because you're mentally ill. 402 00:20:54,349 --> 00:20:58,682 You injected yourself with ACTH to induce Cushing's to get attention from doctors. 403 00:20:58,914 --> 00:21:00,717 And so far it's worked. 404 00:21:01,191 --> 00:21:03,123 I'd like to see another doctor. 405 00:21:03,333 --> 00:21:04,834 I'm not giving you what you want? 406 00:21:04,944 --> 00:21:06,486 I don't want a bitch. 407 00:21:06,654 --> 00:21:09,154 Just sign the forms, okay, and I'll get out of here. 408 00:21:09,534 --> 00:21:12,203 Hopefully for you, whatever you injected yourself with won't wear off 409 00:21:12,269 --> 00:21:15,907 before you get fun of a caring and concerned doctor cutting into your head. 410 00:21:31,543 --> 00:21:33,766 You chose me to make House miserable, didn't you? 411 00:21:33,872 --> 00:21:36,694 Apparently he's making YOU miserable. 412 00:21:36,778 --> 00:21:38,052 That's impressive. 413 00:21:38,250 --> 00:21:39,290 Find someone else. 414 00:21:39,435 --> 00:21:40,669 No. 415 00:21:40,963 --> 00:21:45,651 For the first time in six years I'm getting copied on all experimental tests and procedures. 416 00:21:45,735 --> 00:21:48,748 Clinic hours have been logged and completed. 417 00:21:48,832 --> 00:21:51,316 You've given me four months of House's dictations 418 00:21:51,400 --> 00:21:53,498 so I can finally bill insurance companies. 419 00:21:53,582 --> 00:21:56,791 I only did that stuff to prove he couldn't make me miserable. 420 00:21:56,875 --> 00:21:58,394 Well, way to go. 421 00:21:58,573 --> 00:22:00,928 Now everybody's getting what they need. Even House. 422 00:22:01,035 --> 00:22:05,518 He gets to play mad scientist, and this department runs smoothly. 423 00:22:05,602 --> 00:22:08,361 So I'm stuck with this for the next three weeks. 424 00:22:08,665 --> 00:22:10,081 Maybe longer. 425 00:22:11,769 --> 00:22:14,752 Would you be interested if this wasn't just pretend? 426 00:22:16,976 --> 00:22:17,954 What did Mommy say? 427 00:22:18,038 --> 00:22:19,614 I don't get any candy in my stocking. 428 00:22:19,698 --> 00:22:21,338 Patient being prepped for the venous sampling? 429 00:22:21,404 --> 00:22:22,135 Yeah. 430 00:22:22,291 --> 00:22:24,865 Mentally ill patient is right on track for a pointless procedure. 431 00:22:24,949 --> 00:22:28,463 Yeah, we get your objection. 432 00:22:33,421 --> 00:22:34,835 Foreman. 433 00:22:35,132 --> 00:22:36,886 Are you sure? 434 00:22:37,608 --> 00:22:39,831 That doesn't make any sense. Check it again. 435 00:22:40,375 --> 00:22:42,900 Haw! We gotta delay the venous sampling. 436 00:22:42,984 --> 00:22:44,958 Why? Her urine turning orange? 437 00:22:47,603 --> 00:22:49,246 How would you know that? 438 00:22:49,482 --> 00:22:50,981 Because that's what rifampin does. 439 00:22:51,075 --> 00:22:52,653 She's not on antibiotics? 440 00:22:52,844 --> 00:22:56,622 But if a Munchausen's patient thinks she's about get busted, 441 00:22:56,706 --> 00:23:00,709 she sees pills labeled "might cause seizures," she might grab a couple. 442 00:23:00,793 --> 00:23:04,309 And if that label were accidentally on a bottle of antibiotics 443 00:23:04,393 --> 00:23:06,668 and if that bottle were accidentally left in her room... 444 00:23:06,752 --> 00:23:08,641 - You set her up? - Might have. 445 00:23:08,944 --> 00:23:10,460 It's Munchausen's. 446 00:23:10,544 --> 00:23:12,805 All that she did to herself. 447 00:23:29,852 --> 00:23:32,864 I don't know what the hell you're talking about. 448 00:23:33,043 --> 00:23:36,342 I had a seizure. I'm sick. I need your help. 449 00:23:36,426 --> 00:23:38,102 Not from this department. 450 00:23:38,186 --> 00:23:41,967 The half-life of rifampin is three hours. After that, you'll get your psych referral 451 00:23:42,136 --> 00:23:43,513 and your discharge papers. 452 00:23:43,597 --> 00:23:45,682 You know, just because you stick your fingers down your throat 453 00:23:45,749 --> 00:23:47,829 doesn't mean the rest of us are screwed up. 454 00:23:48,588 --> 00:23:51,880 I guess when cooperation fails, you move onto hostility. 455 00:23:52,484 --> 00:23:54,699 I didn't do this to myself. 456 00:24:06,406 --> 00:24:08,365 100% commitment. 457 00:24:08,449 --> 00:24:09,526 Sign of a good liar. 458 00:24:09,610 --> 00:24:12,154 Also the sign of a sociopath. 459 00:24:12,825 --> 00:24:13,890 What are you doing? 460 00:24:13,974 --> 00:24:15,727 Correcting your last note. 461 00:24:16,255 --> 00:24:18,321 We can't discharge her, she's sick. 462 00:24:19,241 --> 00:24:21,155 Anybody ever tell you you write like a girl? 463 00:24:21,251 --> 00:24:22,088 What? 464 00:24:22,241 --> 00:24:24,321 You got some other explanation for orange urine? 465 00:24:24,432 --> 00:24:26,761 - It's Munchausen's. - Correct, but not complete. 466 00:24:26,852 --> 00:24:28,958 You just don't wanna admit that she skunked you. 467 00:24:29,108 --> 00:24:31,501 At the end of "The Boy Who Cried Wolf" 468 00:24:31,616 --> 00:24:33,571 the wolf really does come. 469 00:24:33,682 --> 00:24:36,348 And he eats the sheep and the boy and his parents. 470 00:24:36,432 --> 00:24:38,379 - The wolf doesn't eat the parents. - It does when I tell it. 471 00:24:38,463 --> 00:24:40,735 You're not telling the story now. I am. 472 00:24:42,159 --> 00:24:44,229 Look, I checked her records. 473 00:24:44,313 --> 00:24:46,453 All her hospitalizations were for different things. 474 00:24:46,537 --> 00:24:49,422 Brain tumor, fainting spells, skin rashes, seizures. 475 00:24:49,506 --> 00:24:52,287 She's had every blood test known to man and the results were all over the map. 476 00:24:52,371 --> 00:24:55,323 There's only one constant. Low HCT. 477 00:24:55,543 --> 00:24:56,693 The anemia's real. 478 00:24:56,777 --> 00:24:59,035 There's a million things she could have taken to have done that. 479 00:24:59,119 --> 00:25:00,624 True. Could just be her M.O. 480 00:25:00,708 --> 00:25:03,920 She self-induces two illnesses. One always changes, one never does. 481 00:25:03,989 --> 00:25:07,365 Or maybe, she has Munchausen's and aplastic anemia. 482 00:25:07,462 --> 00:25:10,602 Which would mean without the proper treatment, she'll continue to get sicker, weaker, 483 00:25:10,686 --> 00:25:13,183 eventually she'll start bleeding internally and die. 484 00:25:13,358 --> 00:25:15,434 - She's not getting sicker. - She will. 485 00:25:15,517 --> 00:25:18,760 If her bone marrow was dying, the entire blood panel would be affected. 486 00:25:18,844 --> 00:25:20,572 - Her white count's normal. - So far. 487 00:25:20,636 --> 00:25:22,138 We need to do a bone marrow biopsy. 488 00:25:22,222 --> 00:25:23,677 - No. No more tests. - Look. 489 00:25:23,761 --> 00:25:26,005 You kick her to the curb with a Munchausen's diagnosis, 490 00:25:26,119 --> 00:25:28,734 you're guaranteeing that no doctor will ever listen to her again. 491 00:25:28,844 --> 00:25:31,620 We do more tests, we'll only be feeding her psychosis. 492 00:25:31,680 --> 00:25:33,980 The more attention we give her, the more she'll want. 493 00:25:35,845 --> 00:25:38,038 What if she doesn't know we're testing her? 494 00:25:38,188 --> 00:25:40,905 House. You were wrong. Live with it. 495 00:25:40,989 --> 00:25:43,425 There's probably some blood left over from previous tests. 496 00:25:43,510 --> 00:25:46,002 Blood tests alone can't confirm aplastic anemia. 497 00:25:46,086 --> 00:25:49,210 Yes, I know. That's why I wanna do a bone marrow biopsy. 498 00:25:49,294 --> 00:25:52,796 The blood tests could show a systemic disease, or a virus or toxin that could be the cause. 499 00:25:52,880 --> 00:25:55,798 Fine. You wanna test the extra blood? Knock yourself out. 500 00:25:55,882 --> 00:25:57,579 But the patient is off-limits. 501 00:25:57,683 --> 00:25:59,520 And if the results are positive... 502 00:25:59,604 --> 00:26:01,207 I get my biopsy? 503 00:26:03,313 --> 00:26:04,955 It's a safe way to go. 504 00:26:21,592 --> 00:26:26,574 I need all of these tests and a PCR done on this sample. 505 00:26:27,208 --> 00:26:28,589 You're gonna need more blood. 506 00:26:28,780 --> 00:26:29,862 Patient's empty. 507 00:26:30,052 --> 00:26:31,809 Then I can't do it. 508 00:26:33,263 --> 00:26:34,383 You can try. 509 00:26:34,407 --> 00:26:36,625 I can try to look like Salma Hayek. 510 00:26:36,709 --> 00:26:38,423 It's not gonna make it happen. 511 00:26:43,179 --> 00:26:48,379 You may not have Salma's ass, but she doesn't have your eyes. 512 00:26:48,743 --> 00:26:50,337 Yeah, right. 513 00:26:55,846 --> 00:26:57,509 How soon do you need it? 514 00:26:59,011 --> 00:27:01,472 Dr. Wilson. Can I talk to you about something in confidence? 515 00:27:01,472 --> 00:27:02,282 Of course. 516 00:27:02,619 --> 00:27:04,721 - It's about House. - Oh. Then no. 517 00:27:04,981 --> 00:27:06,323 Fine. 518 00:27:06,665 --> 00:27:08,226 I won't say anything. 519 00:27:10,434 --> 00:27:11,821 Do you think there's any way 520 00:27:11,971 --> 00:27:14,932 House would take me seriously as his boss? 521 00:27:15,016 --> 00:27:17,547 Uh... where is this coming from? 522 00:27:17,623 --> 00:27:19,127 Did Cuddy say something? 523 00:27:19,424 --> 00:27:21,817 We talked. She intimated. 524 00:27:22,705 --> 00:27:24,999 And you want my advice on how to usurp him? 525 00:27:25,083 --> 00:27:28,186 It's very ancient Rome. He'll need a toga, of course. A... 526 00:27:28,270 --> 00:27:28,960 sword. 527 00:27:29,044 --> 00:27:30,395 It's not a coup. 528 00:27:30,479 --> 00:27:32,933 I just wanna figure out some way we can work together. 529 00:27:33,041 --> 00:27:36,124 I mean, I keep the team running from an administrative point of view. 530 00:27:36,208 --> 00:27:37,859 House doesn't have to deal with the red tape. 531 00:27:37,928 --> 00:27:40,573 - It's a win-win. - I'm sure he'll see it that way. 532 00:27:41,425 --> 00:27:43,644 You have any advice on how to approach him, 533 00:27:43,728 --> 00:27:46,266 - how to deal with the guy? - No. 534 00:27:50,036 --> 00:27:52,100 But you won't tell him we talked? 535 00:27:52,244 --> 00:27:53,778 No. 536 00:27:55,049 --> 00:27:59,332 There is no way this is gonna happen. 537 00:28:14,828 --> 00:28:16,785 Epstein-Barr titers are through the roof. 538 00:28:17,051 --> 00:28:20,532 Most common viral cause of aplastic anemia. 539 00:28:21,315 --> 00:28:23,145 So what I'm saying is... 540 00:28:31,088 --> 00:28:33,034 Fetal hemoglobin's also elevated. 541 00:28:33,118 --> 00:28:33,986 Yeah, just a wee bit. 542 00:28:34,094 --> 00:28:36,519 - Could indicate... - Uh, you see that in Sickle Cell. 543 00:28:36,607 --> 00:28:38,608 Not all Sickle Cell patients are black. 544 00:28:38,672 --> 00:28:41,401 None of her other blood panels showed any sign of Sickle Cell. 545 00:28:41,485 --> 00:28:44,574 Which means either something's changed drastically since yesterday, 546 00:28:45,230 --> 00:28:48,159 - or this isn't her blood. - Oh course it is! 547 00:28:49,279 --> 00:28:50,732 Metaphorically. 548 00:28:52,204 --> 00:28:54,161 Look, I couldn't do the tests. 549 00:28:54,603 --> 00:28:57,525 I tried, and there wasn't enough blood left over. 550 00:28:57,866 --> 00:29:00,313 You just let me do the biopsy. 551 00:29:01,870 --> 00:29:02,870 No way. 552 00:29:02,940 --> 00:29:04,668 I just got back from a suspension. 553 00:29:04,752 --> 00:29:06,985 And if it wasn't for me, you would have been fired. 554 00:29:07,497 --> 00:29:09,574 Why don't you just get the sample yourself? 555 00:29:09,721 --> 00:29:11,347 Since when have you cared what your boss said? 556 00:29:11,407 --> 00:29:13,996 I don't care what anybody says, I care what they do. 557 00:29:14,080 --> 00:29:17,367 And right now, Blackpoleon Blackaparte has got the nurses on red alert. 558 00:29:17,451 --> 00:29:19,371 I can't get into the patient's room. 559 00:29:19,673 --> 00:29:21,699 So come on. I'll draw the enemy fire, 560 00:29:21,783 --> 00:29:23,937 you outflank them, get in there, get the bone marrow sample. 561 00:29:24,228 --> 00:29:25,296 Can't. 562 00:29:26,767 --> 00:29:28,539 Who are you more afraid of? 563 00:29:32,370 --> 00:29:35,915 I'm not afraid of Foreman. I agree with him. All the tests back him up. 564 00:29:35,973 --> 00:29:38,205 All the tests have not been done. 565 00:29:39,470 --> 00:29:42,336 You do realize that Blackaparte's reign is only temporary. 566 00:29:42,523 --> 00:29:46,654 I also realize that no matter what I do, you're still gonna treat me like crap. 567 00:29:47,012 --> 00:29:49,364 Crap is a relative term. 568 00:29:58,149 --> 00:29:59,846 I never even made it into the room. 569 00:30:00,002 --> 00:30:03,054 Nurses called the attending as soon as a Trocar was ordered. 570 00:30:03,359 --> 00:30:05,330 You used her real name? 571 00:30:05,514 --> 00:30:08,188 I just processed your patient's discharge papers. 572 00:30:08,333 --> 00:30:10,196 She's on her way out right now. 573 00:30:13,363 --> 00:30:15,051 Whoa! Whoa. Whoa. 574 00:30:15,289 --> 00:30:16,263 Wait up. 575 00:30:17,146 --> 00:30:18,677 It's all right. She's gonna stay. 576 00:30:18,934 --> 00:30:21,206 - Wonderful. - Oh, bite me! 577 00:30:21,793 --> 00:30:23,990 I don't need to hear the riot act again. 578 00:30:24,090 --> 00:30:26,057 How would you like another medical test? 579 00:30:26,934 --> 00:30:29,157 - What? - Sit. 580 00:30:29,471 --> 00:30:30,665 Why? 581 00:30:31,237 --> 00:30:34,045 So you don't crack your skull when you pass out. 582 00:30:35,131 --> 00:30:36,428 Just do it. 583 00:30:38,724 --> 00:30:40,816 - You know what colchicine is? - No. 584 00:30:41,152 --> 00:30:43,579 Well, don't feel bad. It's for gout. 585 00:30:43,663 --> 00:30:46,354 It's got nothing to do with anything you've ever pretended to have. 586 00:30:46,438 --> 00:30:48,611 - I'm not pretending... - Shut up. 587 00:30:49,673 --> 00:30:52,630 Colchicine decimates your white blood cells 588 00:30:52,714 --> 00:30:54,149 and leaves almost no trace. 589 00:30:54,206 --> 00:30:55,969 It's great for faking your way into hospitals. 590 00:30:56,065 --> 00:30:58,042 - I didn't fake my way... - Shut up. 591 00:30:59,226 --> 00:31:01,198 You've been doing this for years. 592 00:31:02,320 --> 00:31:04,536 Don't worry, it's probably not your fault. 593 00:31:05,572 --> 00:31:08,768 When you were a kid, you had a close relative who had a chronic disease, 594 00:31:08,852 --> 00:31:10,750 probably your sister. 595 00:31:11,847 --> 00:31:15,783 You saw all the attention she got while you were left alone, ignored. 596 00:31:16,287 --> 00:31:18,924 And it really seriously screwed you up. 597 00:31:19,797 --> 00:31:21,856 - I do not have a relative... - Shut up! 598 00:31:21,946 --> 00:31:24,329 I'm trying to give you what you want. 599 00:31:27,014 --> 00:31:29,044 And save your life. 600 00:31:31,564 --> 00:31:33,823 You have aplastic anemia. 601 00:31:33,907 --> 00:31:35,818 What, are you trying to scare me now? 602 00:31:37,195 --> 00:31:39,691 It means you're not just sick in the head. 603 00:31:40,039 --> 00:31:42,072 The problem is, the rest of you appears well. 604 00:31:42,156 --> 00:31:44,576 So I've got to make you seem as sick as you're supposed to be 605 00:31:44,660 --> 00:31:46,274 by injecting you with a drug 606 00:31:46,358 --> 00:31:49,342 that simulates the symptoms that you actually have. 607 00:31:52,604 --> 00:31:54,373 All you need to know is... 608 00:31:54,575 --> 00:31:56,999 you've hit the Munchausen's jackpot. 609 00:31:57,177 --> 00:32:00,006 I'm gonna give you a cocktail of insulin for a seizure 610 00:32:00,078 --> 00:32:03,321 and colchicine to kill your white count, 611 00:32:03,405 --> 00:32:06,811 this will absolutely confirm my diagnosis of aplastic anemia. 612 00:32:06,926 --> 00:32:10,188 There is one... small catch. 613 00:32:10,272 --> 00:32:13,636 If you've actually done something to yourself to cause the anemia, 614 00:32:13,900 --> 00:32:15,401 then I'm wrong. 615 00:32:15,896 --> 00:32:18,307 And if I do what I plan to do, 616 00:32:18,834 --> 00:32:21,951 then the treatment will kill you instead of saving you. 617 00:32:22,310 --> 00:32:23,803 So I need to know. 618 00:32:24,276 --> 00:32:28,025 Have you been taking anything besides the insulin, the ACTH, 619 00:32:28,176 --> 00:32:30,926 and the pills Cameron left in your room? 620 00:32:36,962 --> 00:32:38,427 No. 621 00:32:39,564 --> 00:32:40,792 Good. 622 00:32:41,587 --> 00:32:43,116 Give me your arm. 623 00:32:53,655 --> 00:32:55,276 It was my mom. 624 00:32:56,088 --> 00:32:57,765 She had MS. 625 00:32:58,310 --> 00:33:00,786 She was in and out of hospitals all the time. 626 00:33:01,255 --> 00:33:05,322 People were always trying to do things for her. 627 00:33:05,731 --> 00:33:08,418 Bring her food or brush her hair, or... 628 00:33:08,502 --> 00:33:10,197 make her happy. 629 00:33:11,196 --> 00:33:12,913 People cared. 630 00:33:16,620 --> 00:33:19,106 She died when I was 16. 631 00:33:22,606 --> 00:33:24,608 Then there was no one. 632 00:33:27,992 --> 00:33:29,397 Boo hoo. 633 00:33:32,200 --> 00:33:33,599 Where are you going? 634 00:33:35,784 --> 00:33:38,173 Well, I obviously can't be around when it happens. 635 00:33:38,257 --> 00:33:40,200 Well, what are you gonna do? You're just gonna... 636 00:33:40,254 --> 00:33:42,994 Relax. You know the drill. 637 00:33:43,211 --> 00:33:46,490 People walk by here all the time. You'll be fine. 638 00:34:09,732 --> 00:34:12,453 So, barely out the door and she has another seizure. 639 00:34:12,537 --> 00:34:14,765 She must've somehow grabbed insulin on her way out. 640 00:34:14,847 --> 00:34:19,322 Once she's stable, we need to get her out of here before she does more damage to herself. 641 00:34:19,402 --> 00:34:20,514 We can't. 642 00:34:20,622 --> 00:34:22,282 Her white count's down. 643 00:34:23,721 --> 00:34:25,289 Sorry, I missed that. 644 00:34:25,963 --> 00:34:28,074 Hearing's been off since the Ricky Martin concert. 645 00:34:28,158 --> 00:34:30,325 Some cholo kicked me in the head. 646 00:34:30,409 --> 00:34:33,261 White count, hematocrit, and platelets are all off. 647 00:34:33,484 --> 00:34:36,315 Her bone marrow's shutting down. She actually has aplastic anemia. 648 00:34:36,399 --> 00:34:37,403 Say what? 649 00:34:37,487 --> 00:34:39,682 All her other labs show nothing that would... 650 00:34:39,766 --> 00:34:44,195 Labs, schmabs. A good diagnostician reads between the labs. 651 00:34:44,888 --> 00:34:45,851 You were right. 652 00:34:46,035 --> 00:34:49,127 Hey, hey, hey. We're not here to play the blame game. 653 00:34:49,288 --> 00:34:50,427 These things happen. 654 00:34:50,816 --> 00:34:54,072 Sometimes doctors send people out on the street to die 655 00:34:54,156 --> 00:34:57,962 after other doctors warn them that they're sending people out on the street to die. 656 00:34:58,068 --> 00:34:59,453 There's no way you could know. 657 00:35:01,057 --> 00:35:02,946 I'll go give her the news. 658 00:35:10,806 --> 00:35:12,033 Who are you? 659 00:35:12,430 --> 00:35:15,860 I'm Dr. Foreman. I'm in charge of your case. 660 00:35:17,722 --> 00:35:19,552 You have aplastic anemia. 661 00:35:20,087 --> 00:35:22,395 Which means your bone marrow has shut down. 662 00:35:22,499 --> 00:35:25,136 And your body can't make new blood anymore. 663 00:35:26,313 --> 00:35:27,310 Are you sure? 664 00:35:27,526 --> 00:35:30,050 I went back and checked your old records. 665 00:35:30,134 --> 00:35:31,697 It makes sense. 666 00:35:32,044 --> 00:35:35,847 The aplastic anemia's apparently been developing for months. 667 00:35:36,495 --> 00:35:39,111 I'm sorry, we should've caught it earlier. 668 00:35:39,195 --> 00:35:40,467 So... 669 00:35:40,933 --> 00:35:44,958 It's not just the latest white count that's leading you to feel this... 670 00:35:48,138 --> 00:35:49,973 I know this is scary. 671 00:35:50,518 --> 00:35:53,152 But a bone marrow transplant could cure you. 672 00:35:53,236 --> 00:35:55,606 A marrow transplant could kill me. 673 00:35:55,790 --> 00:35:58,943 The other option is weekly blood transfusions. 674 00:35:59,166 --> 00:36:01,506 Injections of GCSF. 675 00:36:02,035 --> 00:36:05,301 - It's a life-long regimen. - Yeah, I don't want that. 676 00:36:05,485 --> 00:36:06,781 Are you sure? 677 00:36:09,598 --> 00:36:11,982 I-I don't want to be cruel here, but... 678 00:36:12,606 --> 00:36:15,621 you jumped through a lot of hoops to get this sort of attention. 679 00:36:16,304 --> 00:36:18,071 I just wanna be healthy. 680 00:36:20,112 --> 00:36:23,097 It's not so much fun when you're actually sick. 681 00:36:25,279 --> 00:36:26,535 No. 682 00:36:30,635 --> 00:36:32,924 We'll um... we'll check the registry. 683 00:36:33,008 --> 00:36:34,992 See if there's a donor match. 684 00:36:38,583 --> 00:36:39,849 Thank you. 685 00:36:46,217 --> 00:36:49,586 We have to kill all the old bone marrow before we give you the new stuff. 686 00:36:49,783 --> 00:36:51,625 You'll have no immune system. 687 00:36:51,942 --> 00:36:54,903 We'll keep you in a sterile room for two weeks to make sure everything's dead. 688 00:36:55,046 --> 00:36:56,703 Then we'll give you the donor marrow. 689 00:36:56,811 --> 00:36:59,473 It'll take another couple of weeks until it takes hold. 690 00:36:59,986 --> 00:37:01,585 You won't feel a thing. 691 00:37:01,669 --> 00:37:04,772 If you get uncomfortable for any reason or need to talk, don't yell. 692 00:37:05,044 --> 00:37:07,690 Walls are four inches thick. Lead. 693 00:37:07,872 --> 00:37:09,371 Use the microphone. 694 00:37:10,329 --> 00:37:11,399 Are you ready? 695 00:37:12,356 --> 00:37:13,407 Okay. 696 00:37:17,440 --> 00:37:19,119 Where's Dr. House? 697 00:38:10,076 --> 00:38:11,271 Turn it off. 698 00:38:11,698 --> 00:38:13,769 Now what? 699 00:38:13,853 --> 00:38:14,967 How long has she been in there? 700 00:38:15,051 --> 00:38:16,825 Three minutes. What's going on? 701 00:38:17,097 --> 00:38:19,019 She doesn't have aplastic anemia. 702 00:38:19,102 --> 00:38:20,491 She has an infection. 703 00:38:20,599 --> 00:38:24,091 No. Her white count would be through the roof. Hers is one the floor. 704 00:38:24,390 --> 00:38:27,698 - Well, the body does crazy things. - "The body does crazy things." 705 00:38:27,782 --> 00:38:29,271 Well, that explains everything. 706 00:38:29,355 --> 00:38:30,196 She had no fever. 707 00:38:30,280 --> 00:38:33,588 'Cause her self-inflicted Cushing's suppressed her immune system. 708 00:38:33,934 --> 00:38:36,566 Stopped her from having a fever. Hid the infection. 709 00:38:38,541 --> 00:38:42,710 Clostridium perfringens could cause the bruises, schistocytes, the anemia... 710 00:38:42,794 --> 00:38:44,885 Explains everything except the white count. 711 00:38:45,754 --> 00:38:50,847 Augmentin is a lot safer than destroying her immune system. Why don't we try that? 712 00:38:52,985 --> 00:38:56,191 Ww-you're taking the safe course? 713 00:38:56,393 --> 00:38:57,877 What's going on? 714 00:38:58,467 --> 00:39:01,291 There's lots of explanations for a low white count. 715 00:39:01,375 --> 00:39:03,526 Name one that fits her case. 716 00:39:07,496 --> 00:39:09,334 Colchicine. 717 00:39:13,187 --> 00:39:17,937 I figure that she'd gotten her hands on it and, uh, just self-medicated. 718 00:39:18,349 --> 00:39:20,322 That's brilliant of her! 719 00:39:21,526 --> 00:39:25,912 Take the exact medication that would confirm your diagnosis. 720 00:39:26,709 --> 00:39:28,471 People do crazy things. 721 00:39:28,660 --> 00:39:31,516 You injected her against her will just so you could be right? 722 00:39:31,600 --> 00:39:33,928 - She consented. - She's mentally ill! 723 00:39:34,012 --> 00:39:36,408 But she smells oh so sweet. 724 00:39:39,054 --> 00:39:41,183 She would've gotten sicker when I said she was gonna get sicker, 725 00:39:41,267 --> 00:39:44,216 except Cameron dosed her with antibiotics. Just hold this. 726 00:39:44,300 --> 00:39:46,869 - Is everything okay? - Pull my finger. 727 00:39:51,335 --> 00:39:52,671 Grapey. 728 00:39:53,277 --> 00:39:54,514 You have a bacterium. 729 00:39:54,598 --> 00:39:55,943 It's on all of us. But... 730 00:39:56,103 --> 00:39:59,152 the bruises you gave yourself with the Cushing's made a lovely home. 731 00:39:59,573 --> 00:40:01,003 Bacteria moved in, 732 00:40:01,333 --> 00:40:04,045 parked their cars on the lawn. There goes the neighborhood. 733 00:40:04,129 --> 00:40:07,317 By "neighborhood" I mean your internal organs. 734 00:40:07,919 --> 00:40:10,304 So, should we put her on the Augmentin, boss? 735 00:40:10,449 --> 00:40:13,667 Or do you think she injected herself with grapes? 736 00:40:15,224 --> 00:40:17,515 I love the smell of pus in the morning. 737 00:40:17,650 --> 00:40:19,100 Smells like... 738 00:40:19,979 --> 00:40:21,403 victory. 739 00:40:26,066 --> 00:40:28,215 If you were serious about the offer, 740 00:40:28,401 --> 00:40:30,046 I'm serious about accepting. 741 00:40:31,059 --> 00:40:33,012 I'd like to run the department. 742 00:40:33,272 --> 00:40:35,714 And you said it yourself, things run smooth. 743 00:40:36,448 --> 00:40:38,639 Except for the part where House went behind your back 744 00:40:38,744 --> 00:40:42,136 and KO'd the patient with insulin and colchicine. 745 00:40:42,220 --> 00:40:44,715 There was no reason to suspect an infection. 746 00:40:44,824 --> 00:40:47,415 Even House didn't think it was an infection. 747 00:40:47,607 --> 00:40:49,322 You would've done the same thing I did. 748 00:40:49,471 --> 00:40:51,265 And I'd be just as wrong. 749 00:40:51,804 --> 00:40:54,555 What House did was insane. But he saved her life. 750 00:40:54,639 --> 00:40:55,399 He got lucky. 751 00:40:55,483 --> 00:40:57,654 He got her to admit she's got a problem. 752 00:40:57,759 --> 00:41:00,118 She's agreed to out-patient treatment. 753 00:41:00,270 --> 00:41:01,810 He gets lucky a lot. 754 00:41:06,407 --> 00:41:09,128 Did you ever really intend to give me this job? 755 00:41:09,212 --> 00:41:11,803 Or were you just trying to stop me from stepping down? 756 00:41:11,887 --> 00:41:14,268 You've got two more weeks in charge. 757 00:41:14,773 --> 00:41:17,179 Hopefully the next case will go better. 758 00:41:24,237 --> 00:41:26,182 She should've died. 759 00:41:26,952 --> 00:41:28,702 House is not a hero. 760 00:41:29,170 --> 00:41:31,903 A person who has the guts to break a bad rule, 761 00:41:32,141 --> 00:41:33,842 they're a hero. 762 00:41:33,998 --> 00:41:36,643 House doesn't break rules. He ignores them. 763 00:41:36,946 --> 00:41:38,863 He's not Rosa Parks. 764 00:41:39,248 --> 00:41:41,308 He's an anarchist. 765 00:41:41,392 --> 00:41:42,896 All he stands for is the right 766 00:41:43,001 --> 00:41:46,243 for everyone to grab whatever they want whenever they want. 767 00:41:46,793 --> 00:41:48,727 You tell doctors that's okay, 768 00:41:49,261 --> 00:41:52,511 your mortality rate is gonna go through the roof. 769 00:41:56,594 --> 00:42:00,303 Kinda digging this whole Foreman-in-charge thing. 770 00:42:01,207 --> 00:42:02,205 You know. 771 00:42:03,700 --> 00:42:06,024 It frees me up to watch my soaps. 772 00:42:06,345 --> 00:42:08,418 Catch a movie in the afternoon. 773 00:42:08,502 --> 00:42:09,813 Have lunch with you. 774 00:42:09,939 --> 00:42:11,876 Yeah, that's a big change for you. 775 00:42:12,086 --> 00:42:15,273 Now Cuddy's up Foreman's ass, not mine. 776 00:42:21,822 --> 00:42:24,302 You couldn't live with Foreman as your boss. 777 00:42:24,841 --> 00:42:25,915 Why not? 778 00:42:26,968 --> 00:42:28,720 People can change, you know. 779 00:42:40,443 --> 00:42:42,551 - White count is way down. - Oh. 780 00:42:42,696 --> 00:42:45,273 We're going to need to admit you. Just run a few more tests. 781 00:42:45,273 --> 00:42:47,224 Whatever you think is best. 782 00:42:57,973 --> 00:43:01,657 Last race at the Belmont. Put it all on the 5. To win.